Delivering Health Care in the United States: A Systems Approach, Ninth Edition is the most current and comprehensive overview of the basic structures and operations of the U.S. health system-from its historical origins and resources to its individual services, cost, and quality. Using a unique "systems" approach, the text brings together an extraordinary breadth of information into a highly accessible, easy-to-read resource that clarifies the complexities of health care organization and finance while presenting a solid overview of how the various components fit together. Updated new data for tables, charts, figures, and text based on the latest published data, trends and research findings.New chapter opening diagrams, and end-of-chapter summaries provide enhanced guidance for reading and comprehension.New Lessons from the Past section provides added analysis and policy discussion.New coverage of medical technology assessment around the world.

Revamped Finance chapter (6) provides enhanced clarity to difficult concepts.Added discussion on payment innovations, payment methods, and incentivesNew coverage on the role of hospitals in an integrated care environmentNew sections on the future of managed care; long-term care; and primary care.Expanded coverage of COVID-19, including its impact on cost, access, and quality.New discussion of cultural responsiveness. U.S. Health Care Systems and DeliveryHealth Care DeliveryOverview of the US Health Care SystemFundamentals of Health CareIntro to Health Systems © 2026 700 pages.